Provider Demographics
NPI:1144368937
Name:JAMEA, SHAHRZAD (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAHRZAD
Middle Name:
Last Name:JAMEA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13530 STATE HIGHWAY 249
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77086-3132
Mailing Address - Country:US
Mailing Address - Phone:713-385-4929
Mailing Address - Fax:
Practice Address - Street 1:13530 STATE HIGHWAY 249
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-3132
Practice Address - Country:US
Practice Address - Phone:281-272-0106
Practice Address - Fax:281-781-2043
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18883122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No122300000XDental ProvidersDentist